Provider Demographics
NPI:1942688510
Name:WOJCIK, JAKUB TOMASZ (MD)
Entity Type:Individual
Prefix:DR
First Name:JAKUB
Middle Name:TOMASZ
Last Name:WOJCIK
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:908 NIAGARA FALLS BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2019
Mailing Address - Country:US
Mailing Address - Phone:716-692-3302
Mailing Address - Fax:716-692-4342
Practice Address - Street 1:116 INTERSTATE PKWY STE 41
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701
Practice Address - Country:US
Practice Address - Phone:814-363-9484
Practice Address - Fax:814-362-3854
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD465627207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine